| NPI | 1790304012 |
|---|---|
| Former Name | JESSICA HATCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R254008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA GA268600) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-11-02 |